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MELVIN L SHANLEY DDS PA
NPI 1053446419
Dentist - General Practice in San Antonio, TX

Active since February 23, 2007
4315 MOONLIGHT WAY, SUITE 101, SAN ANTONIO, TX 78230(210) 697-7377(210) 697-7319 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melvin L Shanley Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELVIN L SHANLEY DDS PA (NPI 1053446419) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since February 2007. The organization lists Melvin L Shanley, President, as its authorized official.

NPPES Registry Identity

NPI1053446419
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMELVIN L SHANLEY DDS PA
Location Address4315 MOONLIGHT WAY, SUITE 101San Antonio, TX 78230-1688
Mailing Address4315 Moonlight Way, Suite 101San Antonio, TX 78230-1688 · (210) 697-7377 · Fax (210) 697-7319
Phone(210) 697-7377
Fax(210) 697-7319
Organization SubpartNo
Authorized OfficialMelvin L ShanleyPresident · (210) 697-7377
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053446419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 15668
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4315 MOONLIGHT WAY, San Antonio, TX 78230
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Other Identifiers 1

Other1679515357TX · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEJANDRO GARCIA II MD
Family Medicine
4315 MOONLIGHT WAY, SUITE 102
SAN ANTONIO, TX 78230
Bexar County (210) 558-1558
DR. CANDICE HENLEY OWENS D.D.S.
Dentist (General Practice)
4315 MOONLIGHT WAY, SUITE 101
SAN ANTONIO, TX 78230
Bexar County (210) 697-7377
DR. MELVIN LEE SHANLEY DDS
Dentist (General Practice)
4315 MOONLIGHT WAY, SUITE 101
SAN ANTONIO, TX 78230
Bexar County (210) 697-7377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melvin L Shanley Dds PA's NPI number?

The NPI number for Melvin L Shanley Dds PA is 1053446419. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Melvin L Shanley Dds PA located?

Melvin L Shanley Dds PA is located at 4315 Moonlight Way Suite 101, San Antonio, TX 78230. The listed phone number is (210) 697-7377.

What is Melvin L Shanley Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Melvin L Shanley Dds PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.